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ALEXIS NICOLE JACOBSON LICSW
NPI 1083372106
Counselor - Mental Health in Two Harbors, MN

Active since December 06, 2021PECOS EnrolledAccepts Medicare Assignment
1148 SHOREVIEW RD, TWO HARBORS, MN 55616(218) 220-7845 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2026, Dec 6, 2021 (2 updates tracked since 2021).

About Alexis Nicole Jacobson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS NICOLE JACOBSON LICSW (NPI 1083372106) is an individual mental health provider in Two Harbors, Minnesota, licensed in Minnesota (30219) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083372106
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALEXIS NICOLE JACOBSONCredential: LICSW
Location Address1148 SHOREVIEW RDTwo Harbors, MN 55616-5011
Mailing Address1148 Shoreview RdTwo Harbors, MN 55616-5011 · (218) 595-0017
Phone(218) 220-7845
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 6, 2021
Last NPPES UpdateJuly 25, 20262 updates tracked since enumeration
NPPES CertifiedJuly 25, 2026
✔ NPI 1083372106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 30219
1148 SHOREVIEW RD, Two Harbors, MN 55616
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexis Nicole Jacobson Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476992470
PECOS Enrollment IDI20240423002051
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alexis Jacobson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Two Rivers Counseling LLC
25 mi
Mental Health (Including Community Mental Health Center)
404 W SUPERIOR ST STE 210
Duluth, MN 55802
  • Reassigned Medicare billing, Minnesota enrollment
  • 24 clinicians in this Medicare group
NPI 1093486722 (218) 606-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOARING EAGLES THERAPY LLC
Social Worker (Clinical)
1148 SHOREVIEW RD
TWO HARBORS, MN 55616
Lake County (218) 595-0017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Jacobson's NPI number?

The NPI number for Alexis Jacobson is 1083372106. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is Alexis Jacobson located?

Alexis Jacobson practices at 1148 Shoreview Rd, Two Harbors, MN 55616. The listed phone number is (218) 220-7845.

What is Alexis Jacobson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alexis Jacobson enrolled in Medicare?

Yes. Alexis Jacobson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alexis Jacobson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Jacobson reassigns Medicare benefits to Two Rivers Counseling LLC (Duluth, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexis Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexis Jacobson accept?

Health plans from HealthPartners list Alexis Jacobson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexis Jacobson was last updated on July 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.